title: Smoking cessation care provision and support procedures in Australian community mental health centers.
abstract: OBJECTIVE
  The study assessed the association of supportive clinical systems and procedures with smoking cessation care at community mental health centers.
  
  
  METHODS
  Managers (N=84) of community mental health centers in New South Wales, Australia, were asked to complete a survey during 2009 about smoking cessation care.
  
  
  RESULTS
  Of the 79 managers who responded, 56% reported that the centers assessed smoking for over 60% of clients, and 34% reported that more than 60% of clients received minimum acceptable smoking cessation care. They reported the use of guidelines and protocols (34%), the use of forms to record smoking status (65%), and the practice of always enforcing smoking bans (52%). Minimum acceptable smoking cessation care was associated with encouraging nicotine replacement therapy for staff who smoke (odds ratio [OR]=9.42), using forms for recording smoking status (OR=5.80), and always enforcing smoking bans (OR=3.82).
  
  
  CONCLUSIONS
  Smoking cessation care was suboptimal, and additional supportive systems and procedures are required to increase its delivery.
authors.affiliation: School of Psychology, University of Newcastle, University Drive, Callaghan, New South Wales 2308, Australia. amy.anderson@newcastle.edu.au
authors.forename: Amy Elizabeth
authors.initials: AE
authors.lastname: Anderson
authors.forename: Jenny A
authors.initials: JA
authors.lastname: Bowman
authors.forename: Jenny
authors.initials: J
authors.lastname: Knight
authors.forename: Paula M
authors.initials: PM
authors.lastname: Wye
authors.forename: Margarett
authors.initials: M
authors.lastname: Terry
authors.forename: Sonya
authors.initials: S
authors.lastname: Grimshaw
authors.forename: John H
authors.initials: JH
authors.lastname: Wiggers
mesh_terms: D000328:Adult; D003155:Community Mental Health Centers / Q000592:standards*; D003430:Cross-Sectional Studies; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008499:Medical Records / Q000592:standards; D009517:New South Wales; D011787:Quality of Health Care / Q000592:standards*; D061845:Smoke-Free Policy; D016540:Smoking Cessation / Q000379:methods / Q000706:statistics & numerical data*; D061485:Tobacco Use Cessation Devices / Q000706:statistics & numerical data